Individual
NICOLE M ROSTAD HOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-4111
(701) 234-4130
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 234-4111
(701) 234-4130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
705
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51262
—
ND
Enumeration date
09/27/2006
Last updated
05/14/2020
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